| NPI | 1255863759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MOORE Owner 719-237-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 0060101202) |
| 175F00000X Naturopath | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-12-06 |